RT Journal Article
SR Electronic
T1 Contextualizing the first-round failure of the AHCA: down but not out
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 595
OP 600
DO 10.1136/neurintsurg-2017-013136
VO 9
IS 6
A1 Joshua A Hirsch
A1 Andrew B Rosenkrantz
A1 Greg N Nicola
A1 H Benjamin Harvey
A1 Richard Duszak, Jr
A1 Ezequiel Silva III
A1 Robert M Barr
A1 Richard P Klucznik
A1 Allan L Brook
A1 Laxmaiah Manchikanti
YR 2017
UL http://jnis.bmj.com/content/9/6/595.abstract
AB On 8 November 2016 the American electorate voted Donald Trump into the Presidency and a majority of Republicans into both houses of Congress. Since many Republicans ran for elected office on the promise to ‘repeal and replace’ Obamacare, this election result came with an expectation that campaign rhetoric would result in legislative action on healthcare. The American Health Care Act (AHCA) represented the Republican effort to repeal and replace the Affordable Care Act (ACA). Key elements of the AHCA included modifications of Medicaid expansion, repeal of the individual mandate, replacement of ACA subsidies with tax credits, and a broadening of the opportunity to use healthcare savings accounts. Details of the bill and the political issues which ultimately impeded its passage are discussed here.